Sandbox:DDx HEENT: Difference between revisions

Revision as of 20:34, 1 November 2015

20-40 yo patients Acute onset Sudden fever with sever neck pain, dysphagia, and dysphonia

Sever neck tenderness, redness, and swelling

Elevated WBC count Elevated ESR

Abscess may be present on U/S

Staphylococcus aureus, Streptococcus pyogenes, Streptococcus epidermidis, and Streptococcus pneumoniae are the most common isolated organisms

Not applicable

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-* 40-60 yo women
+-40 yo patients
-* Weight loss, heat intolerance, diarrhea, insomnia, hair loss and palpitations
+Acute onset
-* Ophthalmopathy
+Sudden fever with sever neck pain, dysphagia, and dysphonia
-* Diffusely enlarged, symmetric, nontender goiter
+Sever neck tenderness, redness, and swelling
-* Lid lag and exophthalmus
-* Pretibial myxedema
-* Moist warm skin
-* Decreased TSH
+Elevated WBC count
-* Elevated T3 and T4
+Elevated ESR
-* Positive anti-TSH receptor antibodies
-* Enlarged hyperechoic thyroid on U/S
+Abscess may be present on U/S
-* Abscence of nodularity
-* homogeneously increased iodine uptake
-* Plump follicular cells with eosinophilic cytoplasm
+Staphylococcus aureus, Streptococcus pyogenes, Streptococcus epidermidis, and Streptococcus pneumoniae are the most common isolated organisms
-* Hyperplastic follicles with papillary epithelial infoldings
-* Colloid 'scalloping' at the apical membrane
+Not applicable
-* HLA DR4